NPIMap

Organization Active NPI

Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

Doing business as APHMFP-Radiology

  • Diagnostic Radiology Physician
  • Milton, MA
National Provider Identifier
1245773308
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH IS
Doing business as
APHMFP-Radiology
Practice address
199 Reedsdale Rd
Milton, MA 02186
Phone
(617) 696-4600
Fax
(617) 313-1555
NPI assigned
Nov 22, 2016
Last updated
Jan 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alexa B Kimball, M.D.
Title
President, Ceo
Phone
(617) 632-7441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X MA Primary

Addresses

Primary practice location

199 Reedsdale Rd
Milton, MA 02186

Mailing address

375 Longwood Ave
Suite 3B
Boston, MA 02215-5395
Phone (617) 696-4600

Other practice location 1

275 Sandwich St
Plymouth, MA 02360-2183
Phone (508) 746-2000

Other names 1

  • APHMFP-Radiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TN, ME, CA, CO5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20170628003015 MA Part B Supplier - Hospital Department(S) 6305749987 Receives reassigned benefits from 560 practitioners
2 other NPIs on this enrollment
Practice locations: Boston, MA; Winchester, MA; Waltham, MA; Stoneham, MA; Somerville, MA; Sandwich, MA; Quincy, MA; Plymouth, MA…
O20241212000170 TN Part B Supplier - Clinic/Group Practice 6305749987 Receives reassigned benefits from 1 practitioner
Practice locations: Knoxville, TN
O20241212002329 ME Part B Supplier - Clinic/Group Practice 6305749987 Receives reassigned benefits from 1 practitioner
Practice locations: York, ME
O20250113000703 CA Part B Supplier - Clinic/Group Practice 6305749987 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman Oaks, CA
O20250919002271 CO Part B Supplier - Clinic/Group Practice 6305749987 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054

Practitioners & affiliated clinicians

Practitioners 567

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 567

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1245773308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 LONGWOOD AVE",
            "address_2": "SUITE 3B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155395",
            "telephone_number": "617-696-4600",
            "fax_number": "617-754-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 REEDSDALE RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "02186",
            "telephone_number": "617-696-4600",
            "fax_number": "617-313-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Sandwich St",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023602183",
            "country_code": "US",
            "telephone_number": "508-746-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH IS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "ALEXA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "617-632-7441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APHMFP-Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.